Marble City Metric Century

Saturday July 16th, 2011

Registration Form

Name _______________________________________

Address _____________________________________
(city state zip)

E-Mail Address _________________Phone (___)___-____

Emergency Contact ________________ Phone(___)___-____

(Preferably not someone on ride)

Event Fee $25.00 Cash Check

Print and bring to event or mail to:

COGS: MCMC
641 Mountainview Lake Road
Sylacauga, AL 35150

All riders must sign a Release Form

All riders must wear helmet.

Ride Sponsored by Sylacauga Civitans, COGS, Blue Bell

Creameries, Vicious Cycle, Sylacauga Parks and Rec.